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Total laparoscopic pancreaticoduodenectomy: a retrospective study of 27 cases treated in a single institution

  
@article{TCR11264,
	author = {Hong Li and Jie Zhu and Bin Zhang and Gencong Li and Xinhua Zhou and Dansong Yu and Baiwen Chen and Dongjian Yin and Siming Zheng and Haixiang Mao},
	title = {Total laparoscopic pancreaticoduodenectomy: a retrospective study of 27 cases treated in a single institution},
	journal = {Translational Cancer Research},
	volume = {5},
	number = {6},
	year = {2016},
	keywords = {},
	abstract = {Background: Since the first laparoscopic pancreaticoduodenectomy (LPD) was performed in 1994, the feasibility and safety of total laparoscopic pancreaticoduodenectomy (TLPD) have been confirmed by several single-institutional series. However, a standard approach is still lacking. Here, we present our initial experience of TLPD.
Methods: We retrospectively reviewed 27 consecutive patients who had undergone TLPD performed by one operator between January 2013 and August 2016 at the Ningbo Medical Centre of Lihuili Hospital.
Results: A total of 27 LPD were carried out, including two cases of portal vein (PV) resection and reconstruction. Conversion rate was in 4 patients (14.8%); mean operation time was 517 (range, 350–860) minutes; mean blood loss was 500 (range, 300–3,000) mL; mean hospital stay was 25 (range, 11–72) days. The overall postoperative morbidity was 44.4% (12 cases); mean number of collected lymph nodes was 12 (range, 2–59). R0 resection was obtained in 26 patients (96.3%).
Conclusions: TLPD is safe and feasible. It is also possible to safely perform major venous resection and reconstruction during TLPD.},
	issn = {2219-6803},	url = {https://tcr.amegroups.org/article/view/11264}
}